Normotensive ischemic acute kidney injury as a manifestation of intra-abdominal hypertension.
Intra-abdominal hypertension (IAH), leading to abdominal compartment syndrome (ACS), is a frequent cause of acute kidney injury (AKI) in surgical and trauma intensive care units not commonly recognized by nephrologists. Multiple organ systems are often affected and frequently culminate in disastrous outcomes. The diagnosis of AKI as a manifestation of IAH requires a high index of clinical suspicion, especially, because laboratory and imaging studies are unreliable. Early recognition and treatment of the condition is associated with good clinical outcome. We report a typical case of normotensive ischemic AKI as a manifestation of IAH following abdominal surgery.
Lingegowda
Vijaykumar
V
Division of Nephrology, University of Florida, Gainesville, USA. vgowda2@yahoo.com
Ejaz
A Ahsan
AA
Sood
Puneet
P
D034841:Abdominal Cavity / Q000503:physiopathology* / Q000601:surgery; D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D000368:Aged; D001794:Blood Pressure; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000601:surgery; D003161:Compartment Syndromes / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000209:etiology; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D007668:Kidney / Q000098:blood supply; D008113:Liver Neoplasms / Q000175:diagnosis / Q000601:surgery; D008297:Male; D019152:Paracentesis / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome